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pathos
neuro
| Question | Answer |
|---|---|
| MS Description | UMN Autoimmune disease causing DEMYELINATION of CNS |
| MS commonly affected | Caucasian WOMEN ages 20-40 |
| MS s/s | Weakness VISION LOSS UMN sx |
| MS location of lesion | CNS |
| MS PT | energy conservation tone management gait/balance/AD training AVOID FATIGUE AND HEAT PT in am. |
| MS prognosis | decrease 5-10 years in life |
| GB description | LMN DEMYELINATION of the PNS |
| GB commonly affected | men=women younger adults or 50s or 80's |
| GB s/s | DISTAL to proximal Sensory loss with LMN sx |
| GB location of lesion | PNS |
| GB PT | gentle, functional exercise/activity, breathing exercises AVOID FATIGUE |
| GB prognosis | full recovery 3-12 months in no RESPIRATORY FAILURE |
| ALS description | BOTH UMN and LMN progressive DEMYELINATION atrophy of cerebral cortex |
| ALS commonly affected | Men ages 40-70 |
| ALS s/s | ASYMMETRIC DISTAL to proximal weakness/atrophy fatigue oral motor loss, spasticity, motor paralysis RESPIRATORY PARALYSIS |
| ALS location of lesion | CNS and PNS |
| ALS PT | quality of life/ low level exercises positioning mobility, AD training, energy conservation |
| ALS prognosis | FATAL in 3-5 years |
| PPS description | LMN Anterior horn due to polio virus |
| PPS commonly affected | WOMEN > men |
| PPS s/s | ASYMMETRIC weakness/paralysis after having polio Can affect breathing/swallowing |
| PPS location of lesion | Anterior horn (PNS) AND peripheral motor neurons |
| PPS PT | general conditioning WITHOUT FATIGUE energy conservation AD's/orthoses prn |
| PPS prognosis | not life threatening as long as no RESPIRATORY INVOLVMENT |
| PD description | Decreased dopamine decreased voluntary control of movement |
| PD common affected | 50-79 y/o |
| PD s/s | Resting tremor Hypokinesia/Akenesia Festinating gait increased kyphosis dyshagia Rigidity |
| PD location of lesion | Basal ganglia of CNS |
| PD PT | HIGH INTENSITY wait 30-1.5 hoursafter meds dopamine drugs |
| PD prognosis | No change in life span but better quality of life |
| HD description | HEREDITARY DISEASE; basal ganglia degenerates loss of motor control |
| HD commonly affected | 35-55 y/o average but can occur at any age |
| HD s/s | chorea bradykinesia Rigidity COGNITIVE DISFUNCTION ataxic/nonambulatory |
| HD location of lesion | Basal ganglia of CNS |
| HD PT | meds to manage tone quality of life activities caregiver education |
| HD prognosis | FATAL within 15-20 years after onset |
| MG description | AUTOIMMUNE disease SKELETAL MUSCLE DOES NOT FUNCTION PROPERLY |
| MG commonly affected | Women more likely: 20-30 y/o men less likely: 50-60 y/o |
| MG s/s | FATIGUE and SEVERE WEAKNESS including EYE RESPIRATORY distress dysphagia dysarthria |
| MG location of lesion | peripheral efferent neurons |
| MG worsens with | exertion HEAT illness menstruation pregnancy |
| MG PT | AVOID FATIGUE gentle functional activity breathing exercises |
| MG prognosis | takes years to recover and usually incomplete but high quality of life potential |
| SLE description | AUTOIMMUNE disease causing connective tissue dysfunction (not neuro) |
| SLE commonly affected | WOMEN 15-40 y/o |
| SLE s/s | VARIABLE p! fatigue, HA, seizures, cardiac and renal inv. BUTTERFLY RASH |
| SLE location of lesion | Systemic |
| SLE worsens with | UV light overexertion poor diet |
| SLE PT | wellness education relaxation/energy conservation gentle and gradual strength/conditioning |
| SLE prognosis | unpredictable CAN BE FATAL if kidneys fail 10 years survival rate on high end |
| RHABDO description | injury/trauma causing muscles to release toxic substance that DAMAGES KINDEYS CAN BE LIFE THRETENING |
| RHABDO commonly affected | work outdoors in heat heavy labor uncontrolled DM drug/alcohol abuse |
| RHABDO s/s | onset of weakness pain/cramping DARK/TEA COLORED URINE |
| RHABDO location of lesion | skeletal muscle to kidneys (labs show high CK or CPK) |
| RHABDO PT | AVOID FATIGUE gentle, functional activity |
| RHABDO prognosis | good with early dx and tx |
| Which pathos should you avoid over exerting?-7 | MS, GB, ALS, RHABDO, PPS, SLE, MG |
| Which pathos should you avoid overheating?-2 | MS, MG |
| which pathos tend to have normal life expectance?-5 | GB, PD, RHABDO, PPS, MG |
| Which pathos have the shortest life expectancy?-2 | ALS, HD |
| Which pathos affect the young more than the elderly?-3 | SLE, MS, MG-females |
| Which pathos tend to affect women primarily?-4 | MS, SLE, MG, PPS |
| Which pathos present as UMN lesions?-1 | MS |
| Which pathos present as LMN lesions?-2 | GM, PPS |
| Which pathos present with both?-1 | ALS |
| Which pathos present as neither?-5 | MG, SLE, RHABDO, HD, PD |
| Which pathos affect cognition?-2 | PD, HD |
| Which pathos affect respiratory system?-4 | ALS, MG, PPS, GB |
| Which pathos affect vision?-2 | MS, MG |